He aha ka Colesevelam: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau i kau ʻia ʻo Colesevelam e kōkua ana i ka hoʻohaʻahaʻa ʻana i nā pae cholesterol i loko o kou koko. He ʻano ia o ka bile acid sequestrant e hana ana ma ka hoʻopaʻa ʻana i nā waikawa bile i loko o kou ʻōpū, e koi ana i kou kino e hoʻohana i ka cholesterol e hana i nā waikawa bile hou aku, e hōʻemi ana i ka cholesterol e holo ana i loko o kou koko.

Hoʻonui pinepine ʻia kēia lāʻau lapaʻau i ka wā ʻaʻole lawa ka ʻai a me ka hoʻoikaika kino wale nō e mālama i nā pae cholesterol kiʻekiʻe. Hiki i kāu kauka ke ʻōlelo aku iā colesevelam ma ke ʻano he ʻāpana o kahi ala piha e pale ai i kou olakino puʻuwai a hōʻemi i kou pilikia o ka maʻi cardiovascular.

He aha ka Colesevelam?

No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo bile acid sequestrants ʻo Colesevelam. E noʻonoʻo iā ia he ʻōhuʻu kūikawā e hana ana i loko o kāu ʻōnaehana digestive e kōkua i ka mālama ʻana i nā pae cholesterol maoli.

ʻAʻole like me kekahi mau lāʻau lapaʻau cholesterol e hana ana i kou ate, hana ʻo colesevelam i loko o kou ʻōpū. ʻAʻole ia e komo i loko o kou koko, kahi e lilo ai i koho mālie no nā poʻe he nui. Hele mai ka lāʻau lapaʻau i ke ʻano papa a lawe ʻia e ka waha, maʻamau me nā meaʻai.

Ua hoʻohana palekana ʻia kēia ala i ka mālama ʻana i ka cholesterol no nā makahiki he nui. Hōʻike ʻo Colesevelam i kahi hanauna hou o nā bile acid sequestrants e ʻoi aku ka maikaʻi ma mua o nā lāʻau lapaʻau kahiko i kēia papa.

No ke aha e hoʻohana ʻia ai ʻo Colesevelam?

Hoʻohana nui ʻia ʻo Colesevelam e hoʻohaʻahaʻa i ka LDL cholesterol, i kapa pinepine ʻia ʻo

I kekahi mau hihia, hiki nō ke kau ʻia ka colesevelam e kōkua i ka mālama ʻana i nā pae kōpa koko i ka poʻe me ka maʻi diabetes type 2. ʻO kēia pōmaikaʻi pālua e waiwai nui ai ia no ka poʻe i loaʻa i ka cholesterol kiʻekiʻe a me ka maʻi diabetes.

Pehea ka Hana ʻana o Colesevelam?

Hana ʻo Colesevelam ma ka hoʻopau ʻana i ke kaʻina hana hana hou cholesterol maoli o kou kino. Ke ʻai ʻoe, hana kou ate i nā waikawa bile e kōkua i ka ʻeli ʻana i nā momona, a ua hoʻopili hou ʻia kēia mau waikawa bile a hoʻohana hou ʻia.

Hoʻopaʻa kēia lāʻau i nā waikawa bile i loko o kou ʻōpū, e pale ana iā lākou mai ka hoʻopili hou ʻia. A laila pono kou kino e hana i nā waikawa bile hou me ka hoʻohana ʻana i ka cholesterol mai kou kahe koko. Hoʻemi mālie kēia kaʻina hana i ka nui o ka cholesterol e holo ana i loko o kou koko.

Ua manaʻo ʻia ʻo Colesevelam he lāʻau cholesterol ikaika waena. Hoʻohaʻahaʻa maʻamau ia i ka LDL cholesterol ma kahi o 15-20%, he mea nui akā ʻaʻole i like ka nui me kekahi mau lāʻau cholesterol ʻē aʻe. ʻO ke ala mālie a paʻa pinepine e kūpono ai ia no ka hoʻohana lōʻihi.

Pehea wau e lawe ai i ka Colesevelam?

E lawe i ka colesevelam e like me ke kau ʻana a kāu kauka, maʻamau me nā meaʻai a me ka nui o ka wai. ʻO ka maʻamau hoʻomaka ʻana he 3 papa i ʻelua manawa i ka lā me nā meaʻai, akā e hoʻoholo kāu kauka i ka nui kūpono no kāu kūlana.

ʻO ka lawe ʻana i ka lāʻau me ka meaʻai e kōkua iā ia e hana ʻoi aku ka maikaʻi a hoʻemi i ka manawa o ka ʻōpū. E hōʻoia e inu i ka wai ma ka liʻiliʻi he 8 auneke me kēlā me kēia mahele e kōkua i ka lāʻau e hele pono i kāu ʻōnaehana digestive.

Inā ʻoe e lawe i nā lāʻau ʻē aʻe, pono ʻoe e hoʻokaʻawale iā lākou mai colesevelam. E lawe i nā lāʻau ʻē aʻe ma ka liʻiliʻi he 1 hola ma mua a i ʻole 4 hola ma hope o ka lawe ʻana i ka colesevelam, no ka mea, hiki iā ia ke keakea i ka komo ʻana o nā lāʻau ʻē aʻe.

E hoʻāʻo e lawe i ka colesevelam i nā manawa like i kēlā me kēia lā e kōkua i ka hoʻokumu ʻana i kahi hana maʻamau. Kōkua kēia kūlike e hōʻoia e loaʻa iā ʻoe ka pōmaikaʻi piha o ka lāʻau a e hōʻemi i ka hiki ke poina iā ʻoe kahi mahele.

Pehea ka lōʻihi e lawe ai au i ka Colesevelam?

He lāʻau lōʻihi ka Colesevelam āu e lawe ai no nā mahina a i ʻole nā makahiki. He maʻi maʻamau ka cholesterol kiʻekiʻe e pono ai ka mālama mau ʻana ma mua o ka hoʻoponopono manawa pōkole.

E ʻike paha ʻoe i kekahi hoʻomaikaʻi ʻana i kāu pae cholesterol i loko o 2-4 mau pule o ka hoʻomaka ʻana i ka lāʻau. Eia naʻe, hiki ke lawe i 4-6 mau pule e ʻike i nā hopena hoʻohaʻahaʻa cholesterol piha o ka lāʻau.

E nānā mau kāu kauka i kāu pae cholesterol ma o nā hoʻokolohua koko e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau. Ma muli o kēia mau hopena, hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e ʻōlelo i nā lāʻau lapaʻau hou e kōkua iā ʻoe e hiki i kāu mau pahuhopu cholesterol.

Mai hooki koke i ka lawe ʻana i ka colesevelam me ka ʻole e kamaʻilio mua me kāu kauka. E hoʻi paha kāu pae cholesterol i ko lākou pae mua inā e hoʻōki ʻoe i ka lāʻau me ka ʻole e pani ʻia me kahi ala lapaʻau ʻē aʻe.

He aha nā hopena ʻaoʻao o Colesevelam?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka colesevelam, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka lono maikaʻi ʻaʻole maʻamau nā hopena ʻaoʻao koʻikoʻi no ka mea ʻaʻole komo ka lāʻau i loko o kou kahe koko.

ʻO nā hopena ʻaoʻao maʻamau e pili ana i kāu ʻōnaehana digestive, no ka mea, ma laila e hana ai ka lāʻau. Hoʻomaikaʻi pinepine kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau i nā pule mua o ka lāʻau.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:

• Paʻa (ʻo ka hopena ʻaoʻao pinepine)
• Hoʻopilikia ʻōpū a i ʻole nausea
• Gas a i ʻole bloating
• Puʻuwai a i ʻole ka waikawa reflux
• Poʻo
• ʻEha ʻiʻo

He maʻalahi a hiki ke mālama ʻia kēia mau hōʻailona. ʻO ka inu ʻana i ka wai nui, ka ʻai ʻana i nā meaʻai momona i ka fiber, a me ka noho ʻana i ka hana kino hiki ke kōkua i ka hōʻemi ʻana i nā hopena ʻaoʻao digestive.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e komo pū ana:

• Ka paʻa ʻana o ka ʻōpū i ʻoi loa a ʻaʻole e hoʻomaikaʻi
• ʻEha nui o ka ʻōpū a i ʻole ka ʻūlū
• He paʻakikī ka ʻai ʻana
• Ke kahe ʻana o ke koko a i ʻole ka ʻeha ʻana i ka maʻamau
• Nā hōʻailona o ka pilikia o ka ʻōpū (ʻeha nui o ka ʻōpū, ka luaʻi ʻana, ka hiki ʻole ke hoʻokuʻu i ke kinoea)

E kelepona koke i kāu kauka inā loaʻa kekahi o kēia mau hōʻailona koʻikoʻi. ʻOiai he mea maʻamau ʻole, he maʻi koʻikoʻi paha ka pilikia o ka ʻōpū e pono ai ka lāʻau lapaʻau koke.

ʻO wai ka mea ʻaʻole pono e lawe iā Colesevelam?

ʻAʻole kūpono ʻo Colesevelam no nā mea a pau, a e noʻonoʻo kāu kauka i kou olakino holoʻokoʻa ma mua o ke kau ʻana. Pono paha ka poʻe me kekahi mau maʻi digestive e pale i kēia lāʻau a i ʻole e hoʻohana me ka akahele.

ʻAʻole pono ʻoe e lawe iā colesevelam inā he moʻolelo kou o ka pilikia o ka ʻōpū a i ʻole inā he kiʻekiʻe loa nā pae triglyceride (ma luna o 500 mg/dL). Hiki i ka lāʻau lapaʻau ke hoʻonui i kēia mau maʻi.

E akahele nō hoʻi kāu kauka i ke kau ʻana iā colesevelam inā loaʻa iā ʻoe:

• Ka paʻa ʻana o ka ʻōpū a i ʻole nā maʻi digestive
• He paʻakikī ka ʻai ʻana
• Moʻolelo o ka ʻoki ʻana o ka ʻōpū a i ʻole ka ʻōpū
• He lohi loa ka ʻeli ʻana (gastroparesis)
• Nā hemahema o ka huaora, ʻo nā huaora hiki ke hoʻoheheʻe ʻia i ka momona

Pono e nānā pono ʻia ka poʻe me ka maʻi diabetes, no ka mea, hiki i ka colesevelam ke hoʻopilikia i nā pae kō koko. ʻOiai he mea maikaʻi kēia no kekahi poʻe me ka maʻi diabetes, pono ia i ka nānā pono ʻana a me ka hoʻoponopono ʻana i nā lāʻau lapaʻau diabetes.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu kauka. ʻOiai ʻaʻole komo ʻo colesevelam i ke kahe koko, he mea nui e kaupaona i nā pōmaikaʻi kūpono e kūʻē i nā pilikia i ka wā hāpai.

Nā inoa inoa o Colesevelam

Loaʻa ʻo Colesevelam ma lalo o ka inoa inoa ʻo Welchol ma ʻAmelika Hui Pū ʻIa. ʻO kēia ke ʻano i kauoha pinepine ʻia o ka lāʻau lapaʻau a ua hana ʻia e Daiichi Sankyo.

I kēia manawa, loaʻa nā ʻano generic o colesevelam, hiki ke kōkua i ka hoʻemi ʻana i ke kumukūʻai o ka mālama ʻana. Loaʻa i kēia mau ʻano generic ka mea hana like a hana like me ka maikaʻi e like me ka mana inoa inoa.

Hiki i kāu hale kūʻai lāʻau lapaʻau ke pani ʻokoʻa i kahi mana generic ke ʻole kāu kauka e koi pono i ka inoa inoa. He kūpono nā mana ʻelua, no laila pinepine ka koho ʻana i ke kumukūʻai a me ka uhi ʻinikua.

Nā Koho ʻē aʻe o Colesevelam

Inā ʻaʻole hana maikaʻi ʻo colesevelam iā ʻoe a i ʻole ke kumu o nā hopena ʻaoʻao e hoʻopilikia ai, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke kōkua i ka mālama ʻana i nā pae cholesterol. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke koho maikaʻi loa no kāu kūlana kikoʻī.

ʻO nā mea ʻē aʻe o ka bile acid sequestrants me cholestyramine (Questran) a me ka mea i hele mua iā colesevelam, colestipol (Colestid). Hana like kēia mau mea me colesevelam akā loaʻa paha nā ʻano hopena ʻaoʻao like ʻole a i ʻole nā koi dosing.

ʻO Statins ka mea maʻamau i ka mālama mua ʻana no ka cholesterol kiʻekiʻe a me nā lāʻau lapaʻau e like me atorvastatin (Lipitor), simvastatin (Zocor), a me rosuvastatin (Crestor). Hana ʻokoʻa kēia mau mea ma mua o colesevelam ma ka pale ʻana i ka hana cholesterol i loko o ke ake.

ʻO nā mea ʻē aʻe e pili ana:

• Ezetimibe (Zetia) - pale i ka absorption cholesterol i loko o nā ʻōpū
• PCSK9 inhibitors e like me evolocumab (Repatha) - nā lāʻau lapaʻau injectable hou
• Fibrates - kōkua i ka hoʻohaʻahaʻa ʻana i nā triglycerides a hiki ke hoʻomaikaʻi i ka cholesterol
• Niacin (nicotinic acid) - hiki ke hoʻomaikaʻi i ka profile cholesterol akā loaʻa nā hopena ʻaoʻao nui

Hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau hui pū e pili ana i ka colesevelam me nā lāʻau lapaʻau hoʻohaʻahaʻa cholesterol ʻē aʻe. ʻO ke koho maikaʻi loa e pili ana i kāu pae cholesterol, nā kūlana olakino ʻē aʻe, a me ka maikaʻi o kāu hoʻomanawanui ʻana i nā lāʻau lapaʻau like ʻole.

ʻOi aku ka maikaʻi o Colesevelam ma mua o Cholestyramine?

He nui nā pōmaikaʻi o Colesevelam ma mua o cholestyramine, ka lāʻau lapaʻau kahiko e hoʻopaʻa ana i ka waikawa bile. Hana like nā lāʻau lapaʻau ʻelua, akā ʻoi aku ka maikaʻi o ka colesevelam e ʻae ʻia e ka hapa nui o nā kānaka.

ʻO ka pōmaikaʻi nui o colesevelam, ʻo ia ka mea e hana ai i nā hopena ʻaoʻao digestive liʻiliʻi. ʻOiai hiki i nā lāʻau lapaʻau ʻelua ke hana i ka paʻa ʻana o ka ʻōpū a me ka ʻōpū, ʻo ka colesevelam ka mea maʻamau e hana i nā hōʻailona maʻalahi e maʻalahi ke mālama.

Loaʻa nō hoʻi ʻo Colesevelam i ke ʻano papa maʻalahi, ʻoiai ʻo cholestyramine i loaʻa ma ke ʻano he pauka e pono e hui pū ʻia me ka wai. He nui ka poʻe i ʻike i nā papa i maʻalahi ke lawe mau, e hoʻomaikaʻi ana i ka mālama ʻana i ka lāʻau lapaʻau.

Mai kahi manaʻo pono, hāʻawi nā lāʻau lapaʻau ʻelua i nā pōmaikaʻi hoʻohaʻahaʻa cholesterol like. ʻO ke koho ma waena o lākou e pili pinepine ana i ka ʻae ʻana, ka maʻalahi, a me nā manaʻo kumukūʻai.

Eia naʻe, ua loaʻa ʻo cholestyramine no ka lōʻihi a ʻoi aku ka liʻiliʻi, ʻoi aku hoʻi ma ke ʻano maʻamau. Hiki i kāu kauka ke kōkua iā ʻoe e kaupaona i nā mea maikaʻi a me nā mea maikaʻi ʻole e pili ana i kāu mau pono a me nā makemake.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Colesevelam

Q1. Palekana ʻo Colesevelam no ka poʻe me ka maʻi diabetes?

ʻAe, palekana ʻo colesevelam no ka poʻe me ka maʻi diabetes a hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka mana o ke kō koko. ʻO ka ʻoiaʻiʻo, ua ʻae ʻia e ka FDA e kōkua i ka mālama ʻana i nā pae kō koko i ka poʻe me ka maʻi diabetes type 2.

Hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae cholesterol a me ke kō koko, he mea maikaʻi loa ia no ka mea he kiʻekiʻe ka poʻe me ka maʻi diabetes i ka maʻi puʻuwai. Eia naʻe, pono ʻoe e nānā pono i kāu mau pae kō koko i ka hoʻomaka ʻana i ka colesevelam.

Pono paha kāu kauka e hoʻoponopono i kāu mau lāʻau lapaʻau diabetes ke hoʻomaka ʻoe i ka colesevelam, no ka mea, ʻo ka hoʻomaikaʻi ʻana i ka mana o ke kō koko e hiki ke manaʻo e pono ʻoe i ka liʻiliʻi o kāu mau lāʻau lapaʻau diabetes i kēia manawa. Mai hoʻoponopono i kāu mau lāʻau lapaʻau diabetes ma kāu iho.

Q2. He aha kaʻu e hana ai inā lawe hewa au i ka nui o Colesevelam?

Inā ua lawe ʻoe i ka colesevelam ma mua o ka mea i kauoha ʻia, mai hopohopo. No ka mea ʻaʻole komo ka lāʻau lapaʻau i loko o kou kahe koko, ʻaʻole paha e hōʻeha nui ka overdose maʻalahi.

Hiki paha iā ʻoe ke ʻike i ka piʻi ʻana o nā hopena ʻaoʻao digestive e like me ka paʻa ʻana o ka ʻōpū, ka ʻōpū, a i ʻole ka ʻōpū. E inu i ka wai nui a ʻai i nā meaʻai momona i ka fiber e kōkua i ka neʻe ʻana o ka lāʻau lapaʻau ma o kou ʻōnaehana.

Inā ua lawe ʻoe i ka nui a i ʻole e ʻike nei i nā hōʻailona koʻikoʻi, e kelepona i kāu kauka a i ʻole ke kikowaena hoʻomalu lāʻau make. Hiki iā lākou ke hāʻawi i ke alakaʻi kikoʻī e pili ana i ka nui āu i lawe ai a me kāu mau hōʻailona i kēia manawa.

I ka wā e hiki mai ana, e noʻonoʻo e hoʻohana i kahi mea hoʻonohonoho pila a i ʻole e hoʻonohonoho i nā mea hoʻomanaʻo kelepona e kōkua i ka pale ʻana i ka pālua ʻana. ʻO ka lawe ʻana i nā lāʻau lapaʻau i ka manawa like i kēlā me kēia lā e kōkua pū kekahi i ka hoʻokumu ʻana i kahi hana maʻamau e hōʻemi i nā hewa.

Q3. He aha kaʻu e hana ai inā e poina iaʻu kahi mahele o Colesevelam?

Inā poina iā ʻoe kahi mahele o colesevelam, e lawe koke iā ia ke hoʻomanaʻo ʻoe, inā he meaʻai. No ka mea, hana maikaʻi ka lāʻau lapaʻau ke lawe ʻia me ka meaʻai, mai lawe i kahi mahele i poina ma ka ʻōpū ʻole.

Inā kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia, e lele i ka mahele i poina a hoʻomau me kāu papa manawa maʻamau. Mai lawe i ʻelua mahele i ka manawa hoʻokahi e hoʻopiha ai i kahi mahele i poina, no ka mea, hiki i kēia ke hoʻonui i kou pilikia o nā hopena ʻaoʻao.

ʻAʻole e hōʻeha iā ʻoe ka poina ʻana i kahi mahele i kekahi manawa, akā e hoʻāʻo e lawe i ka colesevelam me ka hoʻomau no nā hopena hoʻohaʻahaʻa cholesterol maikaʻi loa. Inā poina pinepine ʻoe i nā mahele, e kamaʻilio me kāu kauka e pili ana i nā hoʻolālā e hoʻomaikaʻi i ka pili ʻana i ka lāʻau lapaʻau.

E noʻonoʻo e hoʻonohonoho i nā mea hoʻomanaʻo i kēlā me kēia lā ma kāu kelepona a i ʻole e hoʻohana i kahi mea hoʻonohonoho pila i kēlā me kēia pule e kōkua iā ʻoe e hoʻomanaʻo i kāu mau lāʻau lapaʻau. ʻO ka lawe ʻana i ka colesevelam i ka manawa like me kāu mau meaʻai hiki ke kōkua i ka hoʻokumu ʻana i kahi hana maʻamau.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Colesevelam?

Pono ʻoe e hooki i ka lawe ʻana i ka colesevelam ma lalo o ka mālama ʻana a kāu kauka. He maʻi maʻamau ka cholesterol kiʻekiʻe e pono ai ka mālama mau ʻana, no laila ʻaʻole i ʻōlelo ʻia ka hooki ʻana i ka lāʻau lapaʻau ke ʻole he kumu olakino kikoʻī.

Hiki i kāu kauka ke noʻonoʻo e hooki i ka colesevelam inā ua loaʻa iā ʻoe ka mana cholesterol maikaʻi loa ma o nā loli ola nui, inā ʻoe e ʻike nei i nā hopena ʻaoʻao hiki ʻole ke ʻae ʻia, a i ʻole inā pono ʻoe e hoʻololi i kahi lāʻau lapaʻau ʻē aʻe.

Inā pono ʻoe e hooki i ka lawe ʻana i ka colesevelam, e nānā pono kāu kauka i kāu pae cholesterol a hiki ke ʻōlelo i nā lāʻau lapaʻau ʻē aʻe. E hoʻi hou ana kāu pae cholesterol i ko lākou pae mua i loko o kekahi mau pule ma hope o ka hooki ʻana i ka lāʻau lapaʻau.

Mai hooki i ka lawe ʻana i ka colesevelam i ka wā e maikaʻi ai ʻoe a i ʻole no ka mea ua hoʻomaikaʻi ʻia kāu pae cholesterol. ʻO kēia mau hoʻomaikaʻi ʻana ma muli paha o ka hana pono ʻana o ka lāʻau lapaʻau, ʻaʻole no ka mea ʻaʻole pono hou ʻoe i ka lāʻau lapaʻau.

Q5. Hiki iaʻu ke lawe i ka Colesevelam me nā lāʻau lapaʻau ʻē aʻe?

Hiki i ka Colesevelam ke launa pū me nā lāʻau lapaʻau ʻē aʻe ma ka hoʻopilikia ʻana i ka maikaʻi o ka lawe ʻia ʻana i loko o kou ʻōpū. ʻO kēia ke kumu e koʻikoʻi ai ka manawa i ka lawe ʻana i ka colesevelam me nā lāʻau ʻē aʻe.

E lawe i nā lāʻau lapaʻau ʻē aʻe ma ka liʻiliʻi he 1 hola ma mua a i ʻole 4 hola ma hope o ka lawe ʻana i ka colesevelam. Kōkua kēia spacing e hōʻoia i ka lawe pono ʻia ʻana o kāu mau lāʻau lapaʻau ʻē aʻe ma mua o ka hiki ʻana o ka colesevelam ke hoʻopilikia i ke kaʻina hana.

ʻO kekahi mau lāʻau lapaʻau i hoʻopilikia ʻia, ʻo ia nā mea hoʻoheheʻe koko, nā lāʻau thyroid, nā lāʻau maʻi diabetes, a me kekahi mau antibiotics. E haʻi mau i kāu kauka a me ka lāʻau lapaʻau e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui.

Pono paha kāu kauka e hoʻoponopono i ka manawa a i ʻole ka dosage o kāu mau lāʻau lapaʻau ʻē aʻe ke hoʻomaka ʻoe i ka colesevelam. Mai hoʻololi i ka manawa o kāu mau lāʻau lapaʻau me ka ʻole e kūkākūkā mua me kāu mea mālama ola.